Track­ing a suc­cess­ful DL­B­CL as­sault in Phase II, Mor­phoSys sets out to seize quick OK for MOR208

En­cour­aged by a break­through des­ig­na­tion at the FDA and its lat­est batch of up­beat da­ta from a Phase II study of its an­ti-CD19 an­ti­body MOR208, Mor­phoSys says it’s blaz­ing a straight path to reg­u­la­tors in search of an ac­cel­er­at­ed ap­proval.

Mor­phoSys ex­ecs spent a good deal of time talk­ing to an­a­lysts yes­ter­day about their rea­sons for shoot­ing at a quick OK. The Ger­man biotech high­light­ed up­dat­ed da­ta demon­strat­ing that of the 68 evalu­able pa­tients in their study for dif­fuse large B cell lym­phoma — a pop­u­lar dis­ease tar­get in on­col­o­gy — they tracked a 49% over­all re­sponse rate and a 31% com­plete re­sponse rate.

They al­so have a pre­lim­i­nary pro­gres­sion free sur­vival rate of 50.5% at 12 months.

Malte Pe­ters

This is a sin­gle arm study of the Mor­phoSys an­ti­body com­bined with lenalido­mide for 81 DL­B­CL pa­tients not el­i­gi­ble for high-dose chemo or au­tol­o­gous stem cell trans­plan­ta­tion. And it says a lot about why biotechs are bar­rel­ing in­to can­cer with high ex­pec­ta­tions of break­ing new ground ear­li­er than ever.

Malte Pe­ters, the chief de­vel­op­ment of­fi­cer at Mor­phoSys, spelled it out for an­a­lysts:

Specif­i­cal­ly 29 out of 33 pa­tients which have re­spond­ed, that amount to 88% are on­go­ing, 20 of whom have an on­go­ing com­plete re­sponse. The mean time to re­spond was short with 1.8 months and the mean time to ex­pe­ri­ence a com­plete re­sponse was 3.6 months….

At this time, we are hop­ing to be able to sub­mit da­ta from the cur­rent L-MIND tri­al to the FDA as a ba­sis for reg­u­la­to­ry ap­proval. Our goal is to achieve an ac­cel­er­at­ed ap­proval based pri­mar­i­ly on the L-MIND study. Apart from L-MIND, we are cur­rent­ly in­ves­ti­gat­ing MOR208 in the same pa­tient pop­u­la­tion in our Phase III B-MIND tri­al. This is a head-to-head study in­ves­ti­gat­ing the ef­fi­ca­cy of MOR208 plus ben­damus­tine ver­sus rit­ux­imab plus ben­damus­tine. Rit­ux­imab plus ben­damus­tine is one of the most com­mon­ly used reg­i­mens in the re­lapse re­frac­to­ry DL­B­CL set­ting.

The FDA al­ready has this drug down in the spe­cial BTD path based on an ear­li­er snap­shot of da­ta from the same study. That gives Mor­phoSys a rea­son­able hope that it can move fast to­ward a fil­ing while lin­ing up the big­ger Phase III as a con­fir­ma­to­ry study.

Si­mon Mo­roney

At this point, the ac­cel­er­at­ed ap­proval path­way has been blazed by a mob of de­vel­op­ers who need­ed to show that they were do­ing a rea­son­able per­cent­age of late-stage pa­tients some good. The FDA has re­spond­ed with alacrity, and reg­u­la­tors in the US are on­ly pick­ing up even more speed un­der the di­rec­tion of FDA com­mis­sion­er Scott Got­tlieb. Mor­phoSys – al­lied with a group of A-list part­ners on oth­er drugs – has good rea­son to be­lieve that they can take the same short cut.

Not­ed CEO Si­mon Mo­roney:

“We are very en­cour­aged by our most re­cent clin­i­cal da­ta from the on­go­ing L-MIND tri­al, which sup­port our plan to de­vel­op MOR208 in com­bi­na­tion with lenalido­mide as a chemo-free treat­ment op­tion for this pa­tient pop­u­la­tion.”

Con­quer­ing a silent killer: HDV and Eiger Bio­Phar­ma­ceu­ti­cals

Hepatitis delta, also known as hepatitis D, is a liver infection caused by the hepatitis delta virus (HDV) that results in the most severe form of human viral hepatitis for which there is no approved therapy.

HDV is a single-stranded, circular RNA virus that requires the envelope protein (HBsAg) of the hepatitis B virus (HBV) for its own assembly. As a result, hepatitis delta virus (HDV) infection occurs only as a co-infection in individuals infected with HBV. However, HDV/HBV co-infections lead to more serious liver disease than HBV infection alone. HDV is associated with faster progression to liver fibrosis (progressing to cirrhosis in about 80% of individuals in 5-10 years), increased risk of liver cancer, and early decompensated cirrhosis and liver failure.
HDV is the most severe form of viral hepatitis with no approved treatment.
Approved nucleos(t)ide treatments for HBV only suppress HBV DNA, do not appreciably impact HBsAg and have no impact on HDV. Investigational agents in development for HBV target multiple new mechanisms. Aspirations are high, but a functional cure for HBV has not been achieved nor is one anticipated in the forseeable future. Without clearance of HBsAg, anti-HBV investigational treatments are not expected to impact the deadly course of HDV infection anytime soon.

No­var­tis is ax­ing 150 ear­ly dis­cov­ery jobs as CNI­BR shifts fo­cus to the de­vel­op­ment side of R&D

Novartis is axing some 150 early discover jobs in Shanghai as it swells its staff on the drug development side of the equation in China. And the company is concurrently beefing up its investment in China’s fast-growing biotech sector with a plan to add to its investments in local VCs.

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No­var­tis is eye­ing a multi­bil­lion-dol­lar Med­Co buy­out as Jer­sey biotech nears NDA — re­ports

To get from Novartis’ US headquarters to the Medicines Company, you make a left out of a square concrete building on NJ-Route 10, follow it past the sun orange veranda of Jersey’s Hot Bagels and the inexplicable green Vermont cabin that houses the Whippany Railway Museum until you turn right and immediately arrive at a rectangular glass building. It should take you about 12 minutes.

Reports are out that Novartis may be making that trip. Amid a torrent of Phase III data burnishing MedCo’s chances at a blockbuster cholesterol drug,  Bloomberg News is reporting that Novartis is looking to acquire the Jersey-based biotech.

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UP­DAT­ED: In a land­mark first glimpse of hu­man da­ta from Ver­tex, CRISPR/Cas9 gene ther­a­py sig­nals ear­ly ben­e­fit

Preliminary data on two patients with blood disorders that have been administered with Vertex and partner CRISPR Therapeutics’ gene-editing therapy suggest the technology is safe and effective, marking the first instance of the benefit of the use of CRISPR/Cas9 technology in humans suffering from disease.

Patients in these phase I/II studies give up peripheral blood from which hematopoietic stem and progenitor cells are isolated. The cells are tinkered with using CRISPR/Cas9 technology, and the edited cells — CTX001 — are infused back into the patient via a stem cell transplant. The objective of CTX001 is to fix the errant hemoglobin gene in patents with two blood disorders: beta-thalassemia and sickle cell disease, by unleashing the production of fetal hemoglobin.

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Badrul Chowdhury. FDA via Flickr

As­traZeneca los­es an­oth­er ex­ec­u­tive to biotech, as Badrul Chowd­hury moves to Savara

Another executive is migrating from the echelons of Big Pharma to the corridors of small biotech.

In April 2018, Badrul Chowdhury took his more than two decades of experience at the FDA to AstraZeneca, where he took on the role of senior vice president and chief physician-scientist for respiratory, inflammation and autoimmunity late-stage development in biopharmaceuticals R&D.

After about a year and a half in this role, Chowdhury is moving to a small Texas biotech called Savara, where he will serve as chief medical officer.

Yiannis Kiachopoulos and Artur Saudabayev, co-founders of Causaly

Lon­don AI up­start, which counts No­var­tis as a cus­tomer, can teach your com­put­er to read

When Amazon developed a machine-learning tool to make its recruitment process more efficient — the man-made system absorbed the gender-bias of its human makers, and the project was aborted. In the field of biopharmaceuticals, the way researchers train their machine learning algorithms can skew the outcome of predictions. But before those predictions can be made, the engine must learn to read to make sense of explosive volume of knowledge out there.

Burt Adelman. Novo Ventures

Here's a $25M seed fund aimed at back­ing some brash new drug ideas out of the Broad

As a former academic and a seasoned drug developer, Burt Adelman knew when he was recruited as a senior advisor to Novo Ventures in 2017 that one of his key priorities needs to be introducing the fund to the network he was so deeply embedded in.

“I was thinking long and hard on how can I, as a Boston insider, help Novo really get inside the ecosystem of Boston biotech?” he recalled in an interview with Endpoints News.

Welling­ton lines up a $393M bankroll for its next round of pri­vate biotech bets — and they’re like­ly think­ing big

Wellington Management made some uncustomary waves at the beginning of the year when it threw its considerable weight against Bristol-Myers Squibb’s $74 billion Celgene buyout. But after Bristol-Myers’ biggest investor conceded that game to the influential proxy firms involved, they’re now going to end the year by rolling out a big new investment fund for a new stable of fledgling biotechs on the private side of the industry.

As uter­ine race with Ab­b­Vie heats up, My­ovant eyes FDA ap­proval with tri­al re­sults from prostate can­cer

Myovant has long had a secret weapon in its uterine rivalry with AbbVie: Men.

While the small Swiss biotech has jockeyed with the Illinois-based giant for a foothold in the endometriosis and uterine fibroid therapy market, the company has been developing the same lead compound, relugolix, for use in one of the most common cancers for the uterus-less: prostate cancer. Today, Myovant is out with positive topline results from its big Phase III trial on the gonadotropin-releasing hormone (GnRH) antagonist. They say they’ve reached every primary and secondary endpoint with p values less than .0001.